Individual provider Active NPI

Gladys Lee Yahnke, PSY.D.

  • Psychologist
  • Fort Collins, CO
National Provider Identifier
1932272937
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2978 Issued in CO
Practice address
375 E Horsetooth Rd
BLDG 2 Ste 201
Fort Collins, CO 80525-3155
Phone
(970) 631-3037
Fax
(970) 797-1349
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2978 CO Primary

Addresses

Primary practice location

375 E Horsetooth Rd
BLDG 2 Ste 201
Fort Collins, CO 80525-3155

Mailing address

6116 Bighorn Xing
Fort Collins, CO 80526-6544
Phone (970) 631-4661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2978COMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1932272937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 BIGHORN XING",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266544",
            "telephone_number": "970-631-4661",
            "fax_number": "970-797-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 E HORSETOOTH RD",
            "address_2": "BLDG 2 STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253155",
            "telephone_number": "970-631-3037",
            "fax_number": "970-797-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAHNKE",
        "first_name": "GLADYS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.